DR. RENJAN ROY MATHEW (PH.D.) – Clinical Psychologist, NPI 1235549650

DR. RENJAN ROY MATHEW (PH.D.) is a healthcare provider. based in Irving, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 36436 (TX). The NPI Number for DR. RENJAN ROY MATHEW (PH.D.) is 1235549650

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENJAN ROY MATHEW (PH.D.)
NPI
1235549650
Phone
(469) 585-5393
Address
1636 SANTA ANITA BLVD
Enumeration Date
7 May 2014
Last Update Date
23 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694443226
Graduation Year
2005 (21 years ago)
PAC ID
1052538337
Professional Enrollment ID
I20140811000322
Address ID
TX750624199IR600XXFWYX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. RENJAN ROY MATHEW (PH.D.)

  • 1636 SANTA ANITA BLVD

    IRVING, TX 750604887

    Phone: (469) 585-5393

    Type: Mailing

  • 600 E JOHN CARPENTER FWY

    STE 291

    IRVING, TX 75062

    Phone: (469) 444-3226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140811000322IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes12514$0
96133Evaluation of neuropsychological test, each additional hour5714$0
90791Psychiatric diagnostic evaluation1414$0
96132Evaluation of neuropsychological test, first hour1414$0
96136Administration of psychological or neuropsychological test, first 30 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 75060)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RENJAN ROY MATHEW (PH.D.)?
DR. RENJAN ROY MATHEW (PH.D.) — NPI 1235549650 — is the standard way to identify this listing.
Can I rely on DR. RENJAN ROY MATHEW (PH.D.) being an active provider?
As of the registry snapshot, DR. RENJAN ROY MATHEW (PH.D.) is marked active.
What is DR. RENJAN ROY MATHEW (PH.D.) best known for clinically?
Directory data describes DR. RENJAN ROY MATHEW (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RENJAN ROY MATHEW (PH.D.)?
DR. RENJAN ROY MATHEW (PH.D.)'s geographic hint is Irving, Texas in our summary view.
Why does DR. RENJAN ROY MATHEW (PH.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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